Melissa Danielle Ercolino, MOT, OTR/L
Individual provider Active NPI Occupational Therapist · Beacon, NY
NPI 1780144337 · NPPES record last updated Mar 20, 2019
Key facts
- NPI
- 1780144337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 022369-1 (NY)
- Practice address
- 10 Hastings Dr
Beacon, NY 12508-2055 - Phone
- (845) 440-1600
- NPI assigned
- Mar 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022369-1 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 022369-1 | NY | Yes |
Addresses
Primary practice location
10 Hastings Dr
Beacon, NY 12508-2055
Mailing address
211 Windsor Rd
Fishkill, NY 12524-3411
Phone (845) 392-6946
Other providers in Beacon, NY
- Ali Ece
- Elant at Fishkill
- Elant at Fishkill, Inc
- Elant at Fishkill, Inc.
- Gina T. Emigh
- Jennylyn Tangonan Escritor
- Victoria Maeve Bamba Estoque
- Rachel Faiella
- Jessica Falcon
- Audrey A Fanning
All providers in Beacon, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.